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Systems and methods for improved post-resuscitation recovery

a post-resuscitation recovery and system technology, applied in the field of systems and methods for improving post-resuscitation recovery, can solve the problems of increasing cerebral output, increasing cerebral perfusion pressure, and lower right-atrial pressure and intracranial pressure, and achieves cerebral output and systolic blood pressure (sbp), reducing pulmonary vascular resistance, and improving pulmonary vascular resistance.

Active Publication Date: 2022-02-15
LURIE KEITH G
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The invention is about a new way of giving CPR to a patient who is in a head and thorax up position. This position helps to increase the pressure in the brain and decrease pressure in the heart, which can help save the patient's life. The method involves raising the patient's head and heart and compressing the chest repeatedly. The pressure in the patient's body is regulated, and when the compressions stop, the patient's head and heart are quickly lowered to prevent brain damage. Overall, this new technique provides a safer and more effective way to perform CPR for longer periods of time.

Problems solved by technology

Such techniques result in lower right-atrial pressures and intracranial pressure while increasing cerebral perfusion pressure, cerebral output, and systolic blood pressure (SBP) compared with CPR administered to an individual in the supine position.

Method used

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  • Systems and methods for improved post-resuscitation recovery
  • Systems and methods for improved post-resuscitation recovery
  • Systems and methods for improved post-resuscitation recovery

Examples

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example 1

[0111

[0112]A recent study showed that head and thorax elevation during cardiopulmonary resuscitation improves cerebral perfusion in a swine model of prolonged of cardiac arrest. Most clinical CPR efforts last a minimum of 15-20 minutes. Prolonged cardiac arrest poses a potential risk when using a whole-body tilt approach to HUP CPR, since blood flow to the brain would be anticipated to decrease over time likely secondary to pooling of blood in the lower extremities. This physiology is well known from the use of head-up tilt-table testing to induce syncope. To reduce this potential risk, the use of elevation devices, such as those described herein that elevate just the head and upper thorax, demonstrated higher cerebral perfusion pressure (CerPP) in the HUP position over a period of 22 minutes with active compression decompression (ACD)+ITD CPR. With this device the head is elevated about 25 cm and the heart about 5 cm relative to the rest of the body. Building on prior studies, the ...

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PUM

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Abstract

A method for performing cardiopulmonary resuscitation (CPR) includes elevating the head, heart and shoulders of an individual from a starting elevation angle to a final elevation angle greater than zero degrees relative to horizontal while performing CPR by repeatedly compressing the chest. The method includes elevating the brain within a time period selected to be slow enough to permit a sufficient amount of blood to flow to the brain throughout the elevation time period. The method also includes regulating the intrathoracic pressure of the individual while performing CPR. The performance of chest compressions is stopped and after stopping the performance of chest compressions, the head, heart, and shoulders are promptly from the final elevation angle within a timeframe selected to prevent significant drainage of blood from the brain until the head, heart and shoulders are lowered.

Description

CROSS-REFERENCES TO RELATED APPLICATIONS[0001]This application is a continuation in part of U.S. application Ser. No. 15 / 601,494, filed May 22, 2017, which is a continuation in part of U.S. application Ser. No. 15 / 285,063, filed Oct. 4, 2016, which is a continuation in part of U.S. application Ser. No. 15 / 160,492, filed May 20, 2016, which is a continuation in part of U.S. application Ser. No. 15 / 133,967, filed Apr. 20, 2016, which is a continuation in part of U.S. application Ser. No. 14 / 996,147, filed Jan. 14, 2016, which is a continuation in part of U.S. application Ser. No. 14 / 935,262, filed Nov. 6, 2015, which is a continuation in part of U.S. application Ser. No. 14 / 677,562, filed Apr. 2, 2015, which is a continuation of U.S. patent application Ser. No. 14 / 626,770, filed Feb. 19, 2015, which claims the benefit of U.S. Provisional Application No. 61 / 941,670, filed Feb. 19, 2014, U.S. Provisional Application No. 62 / 000,836, filed May 20, 2014, and U.S. Provisional Application No...

Claims

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Application Information

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Patent Type & Authority Patents(United States)
IPC IPC(8): A61H31/00A61G13/12A61G13/04
CPCA61H31/004A61G13/121A61G13/122A61H31/005A61H31/008A61G13/04A61H31/006A61H31/007A61H2201/1623A61H2201/1676A61H2201/5007A61H2201/5097A61H2230/208A61H2230/305
Inventor LURIE, KEITH G.
Owner LURIE KEITH G
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